{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T20:02:42Z","timestamp":1782417762341,"version":"3.54.5"},"reference-count":10,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,1,27]],"date-time":"2024-01-27T00:00:00Z","timestamp":1706313600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Computed tomography imaging routinely detects incidental findings; most research focuses on malignant findings. However, benign diseases such as hiatal hernia also require identification and follow-up. Natural language algorithms can help identify these non-malignant findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Imaging of adult trauma patients from 2010 to 2020 who underwent CT chest\/abdomen\/pelvis was evaluated using an open-source natural language processor to query for hiatal hernias. Patients who underwent subsequent imaging, endoscopy, fluoroscopy, or operation were retrospectively reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>1087(10.6%) of 10\u00a0299 patients had incidental hiatal hernias: 812 small (74.7%) and 275 moderate\/large (25.3%). 224 (20.7%) had subsequent imaging or endoscopic evaluation. Compared to those with small hernias, patients with moderate\/large hernias were older (66.3 \u00b1 19.4 vs 79.6 \u00b1 12.6 years, P &lt; .001) and predominantly female (403[49.6%] vs 199[72.4%], P &lt; .001). Moderate\/large hernias were not more likely to grow (small vs moderate\/large: 13[7.6%] vs 8[15.1%], P = .102). Patients with moderate\/large hernias were more likely to have an intervention or referral (small vs moderate\/large: 6[3.5%] vs 7[13.2%], P = .008). No patients underwent elective or emergent hernia repair. Three patients had surgical referral; however, only one was seen by a surgeon. One patient death was associated with a large hiatal hernia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We demonstrate a novel utilization of natural language processing to identify patients with incidental hiatal hernia in a large population, and found a 10.6% incidence with only 1.2%. (13\/1087) of these receiving a referral for follow-up. While most incidental hiatal hernias are small, moderate\/large and symptomatic hernias have high risk of loss-to-follow-up and need referral pipelines to improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348241230096","type":"journal-article","created":{"date-parts":[[2024,1,27]],"date-time":"2024-01-27T09:35:00Z","timestamp":1706348100000},"page":"1357-1364","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Diagnostic Workup and Therapeutic Intervention of Hiatal Hernias Discovered as Incidental Findings on Computed Tomography"],"prefix":"10.1177","volume":"90","author":[{"given":"Johanna","family":"Lou","sequence":"first","affiliation":[{"name":"Department of Surgery, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3599-0062","authenticated-orcid":false,"given":"Keshav","family":"Kooragayala","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ami","family":"Kalola","sequence":"additional","affiliation":[{"name":"Cooper University Medical School of Rowan University, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6387-1346","authenticated-orcid":false,"given":"Connor","family":"Crudeli","sequence":"additional","affiliation":[{"name":"Cooper University Medical School of Rowan University, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgianna","family":"Sandilos","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret V.","family":"Butchy","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David D.","family":"Shersher","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M.","family":"Burg","sequence":"additional","affiliation":[{"name":"Department of Surgery, Maine Medical Center, Portland, ME, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,27]]},"reference":[{"key":"bibr1-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3173-3"},{"key":"bibr2-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4499-9"},{"key":"bibr3-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200210000-00012"},{"key":"bibr4-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004419"},{"key":"bibr5-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2017.02.011"},{"key":"bibr6-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9610(73)80165-5"},{"key":"bibr7-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)43239-X"},{"key":"bibr8-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgast-2020-000565"},{"key":"bibr9-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2020.03.011"},{"key":"bibr10-00031348241230096","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2020.06.009"}],"container-title":["The 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Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241230096","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348241230096","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241230096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:39:07Z","timestamp":1777379947000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348241230096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,27]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1177\/00031348241230096"],"URL":"https:\/\/doi.org\/10.1177\/00031348241230096","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,27]]}}}